Clinical trial
Effect of Magnesium Sulphate Pretreatment on the Onset and Duration of Intense and Deep Neuromuscular Block of Rocuronium Versus Cis-Atracurium in Pediatric Laparoscopic Surgery
Name
04-2022-200028
Description
In this study, the investigators will compare the effect of magnesium sulphate pretreatment on the onset and duration of intense and deep neuromuscular Block of rocuronium versus Cis-Atracurium and on the period of no response to nerve stimulation in children undergoing elective laparoscopic surgeries.
Trial arms
Trial start
2023-03-20
Estimated PCD
2024-02-20
Trial end
2024-12-01
Status
Not yet recruiting
Phase
Early phase I
Treatment
MgSO4
The patients will be pretreated with magnesium sulphate infusion (30 mg kg-1, total volume 100 ml, infusion rate 5 ml min-1) 20 min. before induction of anesthesia.
Arms:
Cis-Atracurium/MgSO4, Rocuronium/MgSO4
Other names:
Magnesium Sulfate
Rocuronium Bromide
Rocuronium will be administered for intubation at a dose of 0.45-0.6 mg/kg IV and Maintenance at a dose of 0.1-0.2 mg/kg IV on fixed interval
Arms:
Rocuronium/MgSO4
Other names:
Esmeron
Cis-Atracurium
Cis-Atracurium will be administered at 0.1-0.15 mg/kg IV bolus for intubation and maintenance at a dose of 0.03 mg/kg iv on fixed intervals.
Arms:
Cis-Atracurium/MgSO4
Other names:
Nimbex
Size
58
Primary endpoint
The time of no response to nerve stimulation (seconds)
Intraoperative
Eligibility criteria
Inclusion Criteria:
1. Age group 2-12 years old
2. Both genders
3. Children who will be scheduled to undergo elective laparoscopic surgeries.
4. Patients with American Society of Anesthesiologist physical status classification of 1 or 2-
Exclusion Criteria:
1. Patients who are beyond the selected age group.
2. Patients on medications that interfered with muscle activity.
3. Allergy to medications used in this study.
4. Neuro-muscular diseases.
5. Renal or hepatic impairment.
6. Hypermagnesemia (\>2.5 mmol) or hypomagnesemia (\<1.7 mmol).
7. Parental refusal to participate in the study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2', 'PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'To compare the effect of magnesium sulphate pretreatment on the onset and duration of intense and deep neuromuscular Block of rocuronium versus Cis-Atracurium and on the period of no response to nerve stimulation in children undergoing elective laparoscopic surgeries.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'TRIPLE', 'maskingDescription': 'The dose of the administered muscle relaxants will be given by an investigator not included in the study.', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 58, 'type': 'ESTIMATED'}}
Updated at
2023-02-23
1 organization
3 products
1 indication
Organization
Assiut UniversityProduct
MgSO4Indication
Muscle RelaxationProduct
RocuroniumProduct
Cis-Atracurium